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Acta clinica Croatica, Vol. 60. No. 4., 2021.

Original scientific paper

https://doi.org/10.20471/acc.2021.60.04.13

Predictive Factors for Successful Prosthetic Rehabilitation after Vascular Transtibial Amputation

Slavko Budinski orcid id orcid.org/0000-0001-8597-3570 ; University of Novi Sad, Novi Sad Faculty of Medicine, Novi Sad, Serbia; Department of Vascular and Endovascular Surgery, Clinical Center of Vojvodina, Novi Sad, Serbia
Vladimir Manojlović ; University of Novi Sad, Novi Sad Faculty of Medicine, Novi Sad, Serbia; Department of Vascular and Endovascular Surgery, Clinical Center of Vojvodina, Novi Sad, Serbia
Aleksandar Knežević ; University of Novi Sad, Novi Sad Faculty of Medicine, Novi Sad, Serbia; Medical Rehabilitation Department, Clinical Center of Vojvodina, Novi Sad, Serbia

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Abstract

Lower extremity amputation is a very common amputation and successful prosthetic
rehabilitation is a desirable outcome. The aim of this study was to determine which factors affect
the success of prosthetic rehabilitation after transtibial vascular amputation. The study included 61
patients who had undergone transtibial amputation (mean age, 64.2±10.4 years; 50 (82%) males).
Patients who were able to walk at least 45 meters without aids or with only one walking stick after
rehabilitation program were classified into the group of successful prosthetic users. Age, gender, comorbidities,
patency of the popliteal artery, wound healing complications, and presence of the phantom
limb pain were used as predictive variables. Multivariate logistic regression analysis was used to
identify predictive factors of successful prosthetic rehabilitation. The model included all variables explaining
up to 59.8% of variance, however, only age, absence of functional patency of the popliteal
artery and compromised wound healing made significant contribution to the model. In conclusion,
good general condition of the patient and sustained patency of the popliteal artery reliably led to
clinical improvement and realization of full capacity of rehabilitation after below-knee amputation.

Keywords

Amputation, transtibial; Lower limb; Rehabilitation, prosthetic

Hrčak ID:

275501

URI

https://hrcak.srce.hr/275501

Publication date:

1.12.2021.

Article data in other languages: croatian

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